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Stephen M. Shortell, PhD - Dean, School of Public Health, UC Berkeley
Robin Gillies, PhD - Department of Health Policy and Management, School of Public Health, UC Berkeley
Thomas G. Rundall, PhD - Henry J. Kaiser Professor of Organized Health Systems, School of Public Health; and Chair, Center for Health Research, UC Berkeley
September 17, 2002
Findings from the National Study of Physician Organizations and the Management of Chronic Illness will be presented. The findings highlight the need for both external incentives and internal organizational capabilities to improve chronic illness care in America.
Todd Wagner, PhD - Health Economist, VA Palo Alto Health System; and Consulting Assistant Professor, Department of Health Research and Policy, Stanford University
October 1, 2002
In 1995, VHA established Psychosocial Residential Rehabilitation Treatment Programs (PRRTP) as an alternative to traditional inpatient care. PRRTP programs treat eligible veterans who have psychiatric disorders in a less-intensive and more self-reliant setting. Using a random-effects model with a 1993-1999 panel dataset, we show that PRRTP care was associated with significant inpatient cost savings. We estimate that $113 million was saved in the first four years of PRRTP (1999 dollars). The savings appear to be related to organizational and personnel changes that reduced the costs of providing care.
Jeffrey Alexander, PhD - Professor, Department of Health Management and Policy, School of Public Health, University of Michigan
October 29, 2002
This paper examines how inter-organizational linkages between physician groups and health systems influence physician alignment with health systems. Findings suggest that value-added management services and decentralized physician group decision-making positively influence alignment, while board interlocks have inconsistent effects on alignment.
Download a copy of Dr. Alexander's paper.
Lonnie Snowden, PhD - Professor, School of Social Welfare, UC Berkeley
November 5, 2002
This study examined disparities in access to mental health care affecting African American and Latino youth in foster care served by a public mental health system undergoing a transition to capitated managed care. In a context of persistent declines in inpatient and outpatient treatment associated with capitated managed care, African American and Latino youth continued to be underrepresented, although they came to receive more care in residential treatment centers for emotionally disturbed children. Further research is needed to understand the impact of this trend on quality of care.
Dr. Snowden's paper is available for viewing.
Laurence Baker, PhD - Associate Professor, Department of Health Research and Policy, Stanford University
November 19, 2002
During the 1990s, many states adopted mandatory programs that moved Medicaid recipients into managed care plans, raising questions about the implications for quality of care and outcomes as well as health spending. This presentation covers results from ongoing work evaluating the impact of the adoption of mandatory Medicaid programs on spending and on access to care, utilization, and health outcomes for children in a number of states.
Dr. Baker's presentation is now available online.
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